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TRI-VALLEY COMMUNITY TELEVISION
City of Pleasanton
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TRI-VALLEY COMMUNITY TELEVISION
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Last modified
12/13/2024 3:47:34 PM
Creation date
12/9/2024 9:03:55 AM
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CONTRACTS
Description Type
Professional Services
Contract Type
Amendment
NAME
TRI-VALLEY COMMUNITY TELEVISION
Contract Record Series
704-05
Munis Contract #
2021122
Contract Expiration
6/30/2025
NOTES
5TH AMENDMENT FOR BROADCASTING AND PRODUCTION SERVICES FOR PUBLIC MEETINGS
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04/12/2024 <br />Gene Morgan Insurance Agency <br />2020 4th Street <br />Livermore CA 94550 <br />Michelle Morgan <br />(925) 447-2565 (925) 447-2463 <br />michelle@genemorganinsurance.com <br />TRI-VALLEY Community Television <br />4663 Bernal St Ste B <br />Pleasanton CA 94566 <br />Hartford Underwriters Insurance Company 30104 <br />Hartford Accident and Indemnity Company 22357 <br />Hartford Casualty Insurance Company 29424 <br />CL2441210690 <br />A Y 57SBABA4CGU 04/14/2024 04/14/2025 <br />2,000,000 <br />1,000,000 <br />10,000 <br />2,000,000 <br />4,000,000 <br />4,000,000 <br />Additional Insured <br />B 57UECVF7606 04/14/2024 04/14/2025 <br />1,000,000 <br />Underinsured motorist <br />combined single limit <br />1,000,000 <br />A 57SBABA4CGU 04/14/2024 04/14/2025 <br />C 57WECRY8709 02/01/2024 02/01/2025 1,000,000 <br />1,000,000 <br />1,000,000 <br />Certificate Holder is named as additional insured <br />City of Pleasanton <br />PO Box 520 <br />Pleasanton CA 94566 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />INSURER(S) AFFORDING COVERAGE <br />INSURER F : <br />INSURER E : <br />INSURER D : <br />INSURER C : <br />INSURER B : <br />INSURER A : <br />NAIC # <br />NAME:CONTACT <br />(A/C, No):FAX <br />E-MAILADDRESS: <br />PRODUCER <br />(A/C, No, Ext):PHONE <br />INSURED <br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />OTHER: <br />(Per accident) <br />(Ea accident) <br />$ <br />$ <br />N / A <br />SUBR <br />WVD <br />ADDL <br />INSD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />$ <br />$ <br />$ <br />$PROPERTY DAMAGE <br />BODILY INJURY (Per accident) <br />BODILY INJURY (Per person) <br />COMBINED SINGLE LIMIT <br />AUTOS ONLY <br />AUTOSAUTOS ONLY <br />NON-OWNED <br />SCHEDULEDOWNED <br />ANY AUTO <br />AUTOMOBILE LIABILITY <br />Y / N <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />If yes, describe under <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />$ <br />$ <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />E.L. DISEASE - EA EMPLOYEE <br />E.L. EACH ACCIDENT <br />EROTH-STATUTEPER <br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />EXCESS LIAB <br />UMBRELLA LIAB $EACH OCCURRENCE <br />$AGGREGATE <br />$ <br />OCCUR <br />CLAIMS-MADE <br />DED RETENTION $ <br />$PRODUCTS - COMP/OP AGG <br />$GENERAL AGGREGATE <br />$PERSONAL & ADV INJURY <br />$MED EXP (Any one person) <br />$EACH OCCURRENCE <br />DAMAGE TO RENTED $PREMISES (Ea occurrence) <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS-MADE OCCUR <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO-JECT LOC <br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) <br />CANCELLATION <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />CERTIFICATE HOLDER <br />The ACORD name and logo are registered marks of ACORD <br />HIRED <br />AUTOS ONLY <br />DocuSign Envelope ID: 4E6AAC20-0386-49CF-ACF4-8F671E86B665Docusign Envelope ID: 482BC778-C4E7-4D52-8B0C-42C1FC881066Docusign Envelope ID: 4FE1680B-F6D6-4FD9-9215-2ED1A0B7F6C5Docusign Envelope ID: 12A50971-42B8-47A3-9297-1E4181E1ED15
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